Evidence map›Paper›PMID 31309416›Full record

ArticleJournal of cancer survivorship : research and practice2019

Implications for patient-provider communication and health self-efficacy among cancer survivors with multiple chronic conditions: results from the Health Information National Trends Survey.

Jessica D Austin, Michael C Robertson, L Aubree Shay, Bijal A Balasubramanian

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
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  6. Cardiometabolic comorbidities in Hispanic/Latino cancer survivors: prevalence and impact on health-related quality of life and supportive care needs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. Do discussions of financial burdens decrease long-term financial toxicity in adolescent and young adult cancer survivors?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  8. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jessica D AustinDepartment of Health Promotion Behavioral Science, UTHealth School of Public Health in Dallas, Harry Hines Blvd, Dallas, TX, 75390, USA. Jessica.D.Austin@uth.tmc.edu.ORCID http://orcid.org/0000-0001-8286-7801
Michael C RobertsonCenter for Energy Balance, Department of Behavioral Science, MD Anderson Cancer Center, Cancer Prevention Building, Unit 1330, 1155 Pressler St, Houston, TX, 77030, USA.
L Aubree ShayDepartment of Health Promotion Behavioral Science, UTHealth School of Public Health in San Antonio, 7411 John Smith Drive, Suite 1100, San Antonio, TX, 78229, USA.
Bijal A BalasubramanianDepartment of Epidemiology, Human Genetics, & Environmental Sciences, UTHealth School of Public Health in Dallas, 6011 Harry Hines Blvd, Dallas, TX, 75390, USA.
University of Texas Health Science Center at Dallas · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Cancer Prevention and Control Research Training and Career Development ProgramT32CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Bijal A. Balasubramanian, Maria Eulalia Fernandez · 2018 to 2026
$3.2M
NCI NIH HHS P30 CA016672NCI NIH HHS T32 CA057712
6 · The paper itself

Abstract

purposeCancer survivors with multiple chronic conditions experience significant challenges managing their health. The six core functions of patient-centered communication (PCC)-fostering healing relationships, exchanging information, responding to emotions, managing uncertainty, making decisions, and enabling patient self-management-represent a central component to facilitating a survivor's confidence to manage their health that has not been investigated in cancer survivors with multiple chronic conditions.

methodNationally representative data across two iterations of the Health Information National Trends Survey (HINTS) were merged with combined replicate weights using the jackknife replication method. Adjusted linear regression examined the association between PCC and health self-efficacy in a sample of breast, colorectal, and prostate cancer survivors and by multiple chronic conditions.

results53.9% reported that providers did not always respond to their emotions and 48.9% reported that they could not always rely on their providers to help them manage uncertainty. In the adjusted linear regression models, there was a significant positive association between PCC and health self-efficacy (β = 0.2, p = 0.01) for the entire sample. However, the association between PCC and health self-efficacy was attenuated in cancer survivors with multiple chronic conditions (β = 0.1, p = 0.53).

conclusionPCC alone is not enough to improve a cancer survivor's confidence in their ability to manage their health in the presence of multiple chronic conditions. IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors with multiple chronic conditions need ongoing support, in addition to PCC, that render them prepared to manage their health after cancer.

Indexed as

Cancer SurvivorsCommunicationPhysician-Patient RelationsSelf EfficacyAdolescentAdultAgedAged, 80 and overChronic DiseaseComorbidityCross-Sectional StudiesDecision MakingEmotionsFemaleHumansMaleCancer survivorshipMultiple chronic conditionsPatient-provider communicationSelf-efficacy

Identifiers

PMID31309416
PMCPMC6832747
OpenAlexW2956735836

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.